Individual provider Active NPI

Joanna Du, M.D.

  • Obstetrics & Gynecology Physician
  • Upland, CA
National Provider Identifier
1477731677
Registry record updated Jul 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A101756 Issued in CA
Practice address
1310 San Bernardino Rd Ste 201
Upland, CA 91786-4985
Phone
(909) 579-0806
Fax
(909) 579-1331
NPI assigned
Feb 11, 2008
Last updated
Jul 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A101756 CA Primary

Addresses

Primary practice location

1310 San Bernardino Rd Ste 201
Upland, CA 91786-4985

Mailing address

1310 San Bernardino Rd Ste 201
Upland, CA 91786-4985
Phone (909) 579-0806

Other names 1

  • Dr. Joanna Du Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100517000221 CA Practitioner - Obstetrics/Gynecology 1456489152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1310 San Bernardino Rd
Suite 201
Upland, CA 91786-4985
Phone (909) 355-7855

15944 Los Serranos Country Club Dr
Suite 230
Chino Hills, CA 91709-3991
Phone (909) 355-7855

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
101756CAMDDentist
A101756CAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Care for Womens Medical Group Inc CurrentSince May 12, 2014 Accepting new patients
Inland Empire OBGYN Registry Inc Obstetrics & Gynecology Current Accepting new patients
Care for Womens Medical Group Inc CurrentSince May 12, 2014 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Alwan MD Inc PastSince Dec 24, 2023 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Care for Women's Medical Group Inc. PastSince Sep 20, 2022 Accepting new patients

Locations

15944 Los Serranos Country Club Dr
Ste 230
Chino Hills, CA 91709
Phone (909) 355-7855

12442 Limonite Ave
Unit 207
Eastvale, CA 91752
Phone (951) 356-8000

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

8300 Utica Ave
Ste 135
Rancho Cucamonga, CA 91730
Phone (929) 386-5021

1310 San Bernardino Rd
Ste 201
Upland, CA 91786
Phone (909) 355-7855

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657238400000",
    "number": "1477731677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD STE 201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864985",
            "telephone_number": "909-579-0806",
            "fax_number": "909-579-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD STE 201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864985",
            "telephone_number": "909-579-0806",
            "fax_number": "909-579-1331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DU",
        "first_name": "JOANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-11",
        "last_updated": "2022-07-08",
        "certification_date": "2022-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A101756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANNA",
            "last_name": "DU",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.